Eligibility
Many types of workers can give naloxone to community members. Please review the Standing Order for Dispensing Naloxone Rescue Kits (PDF) | (DOCX) to determine eligibility.
Massachusetts Controlled Substances Registration (MCSR)
To dispense naloxone, all entities must hold an active, valid MCSR for naloxone or Schedule VI medications. More information about applying for an MCSR.
Once an entity has an active, valid MCSR, they may begin purchasing and dispensing naloxone. For information on how to purchase naloxone at public interest pricing through the State Office of Pharmacy Services (SOPS), refer to the instructions below for your agency type.
SOPS bulk purchasing program
Many organization and agency types can purchase naloxone through SOPS. All entities must have an active, valid Massachusetts Controlled Substance Registration (MCSR) inclusive of Schedule VI in order to order naloxone from SOPS. Please find your organization or agency category below for more information.
Municipal and State Police, Fire, and Sheriff’s Departments Duly registered entities may order naloxone for free from SOPS without any further approval from the Department of Public Health.
Currently, all naloxone obtained by these entities through SOPS is fully subsidized by the Bureau of Substance Addiction Services.
Prior to placing an order, please determine the shipping address and contact information for any naloxone orders and obtain a copy of your MCSR certificate. To place an order, or to inquire about updated naloxone costs through SOPS, please contact Scott Brody at scott.brody@mass.gov or (978) 858-2138.
Medical providers such as hospitals order naloxone for patient administration from their preferred medical supply wholesalers and send patients to pharmacies for take-home doses.
Public and Non-Public Schools
Schools may order naloxone for free through SOPS without any further approval from the Department of Public Health. Naloxone received from SOPS must only be administered to individuals in the event of an overdose. To obtain an MCSR, schools must register with the MDPH School Health Unit for medication delegation/epinephrine training. Please see the MDPH School Health guidance document for details on how to register.
Prior to placing an order, please determine the shipping address and contact information for any naloxone orders and obtain a copy of your MCSR certificate. To place an order, or to inquire about updated naloxone costs through SOPS, please contact Scott Brody at scott.brody@mass.gov or (978) 858-2138.
Due to the current medication regulations, stock naloxone can only be kept in school health offices and administered by school health staff. Please see this memo that addresses how schools must approach naloxone availability for the time being.
DPH Contracted Syringe Service Programs
DPH-contracted SSPs must be approved as an Overdose Education and Naloxone Distribution (OEND) program through DPH. For more information on OEND programs, please contact Ben Plant (benjamin.plant@mass.gov).
All Other Entities
All entities that are not a municipal police or fire agency must be approved as an affiliate program through the Community Naloxone Purchasing Program (CNPP) to purchase naloxone through the SOPS bulk purchasing program with a partial or full subsidy. Affiliate Programs may use the naloxone ordered through this program for both emergency response as well as community level distribution.
For more information on CNPP, please visit our webpage.